Individual provider Active NPI

William Andrew Wessells, ATC, LAT

  • Athletic Trainer
  • Middletown, DE
National Provider Identifier
1659427714
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
J3-0000203 Issued in DE
Practice address
212 Carter Dr
Suite C
Middletown, DE 19709-5837
Phone
(302) 378-7174
Fax
(302) 378-7157
NPI assigned
Jan 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X J3-0000203 DE Primary
Athletic Trainer 2255A2300X RT003353 PA

Addresses

Primary practice location

212 Carter Dr
Suite C
Middletown, DE 19709-5837

Mailing address

13 Karlstad Rd
New Castle, DE 19720-3581
Phone (302) 668-6863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
J3-0000203DEMDAthletic Trainer
RT003353PAMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659427714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 KARLSTAD RD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197203581",
            "telephone_number": "302-668-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARTER DR",
            "address_2": "SUITE C",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095837",
            "telephone_number": "302-378-7174",
            "fax_number": "302-378-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSELLS",
        "first_name": "WILLIAM",
        "middle_name": "ANDREW",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "DE",
            "license": "J3-0000203",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.